Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.88 / $489.69 / $489.69	Professional		$66.88	$489.69	$489.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.21 / $133.65 / $133.65	Facility		$104.21	$133.65	$133.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.66 / $133.65 / $133.65	Professional		$95.66	$133.65	$133.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.97 / $127.29 / $133.65	Facility		$70.97	$127.29	$133.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $100.31 / $104.21 / $141.11	Professional		$100.31	$104.21	$141.11
United Facility/Professional Professional Modifier Low / Median / High Price $57.40 / $63.50 / $84.67	Professional		$57.40	$63.50	$84.67